Nicole Lea Wentworth Hartung, MD in Minneapolis, MN

Nicole Lea Wentworth Hartung, MD is a medicare enrolled "Internal Medicine - Medical Oncology" physician in Minneapolis, Minnesota. Her current practice location is 909 Fulton St Se, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 273-8383.

Nicole Lea Wentworth Hartung is licensed to practice in Minnesota (license number 43587) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255300885.

Contact Information

	Nicole Lea Wentworth Hartung, MD
	909 Fulton St Se, Minneapolis, MN 55455-4800
	(612) 273-8383
	Not Available

Map and Direction

Physician's Profile

Full Name	Nicole Lea Wentworth Hartung
Gender	Female
Speciality	Internal Medicine - Medical Oncology
Location	909 Fulton St Se, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255300885
Provider Enumeration Date: 03/16/2006
Last Update Date: 07/12/2024

Medicare PECOS Information:

PECOS PAC ID: 0648168138
Enrollment ID: I20040308000011

Medical Identifiers

Medical identifiers for Nicole Lea Wentworth Hartung such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255300885	NPI	-	NPPES
HP33218	Other	MN	HEALTHPARTNERS
260472800	Medicaid	MN
3600166	Other	MN	MEDICA
69B77WE	Other	MN	BLUE CROSS BLUE SHIELD MN
140263	Other	MN	UCARE MN
34182800	Medicaid	WI
1027664	Other	MN	PREFERRED ONE
1383614	Other	MN	AMERICA'S PPO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RX0202X	Internal Medicine - Medical Oncology	43587 (Minnesota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Lea Wentworth Hartung allows following entities to bill medicare on her behalf.

Entity Name	Fairview Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461

Entity Name	Fairview Clinics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460

Entity Name	Fairview Express Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Lea Wentworth Hartung is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nicole Lea Wentworth Hartung, MD 1700 University Ave W, Saint Paul, MN 55104-3727 Ph: () -	Nicole Lea Wentworth Hartung, MD 909 Fulton St Se, Minneapolis, MN 55455-4800 Ph: (612) 273-8383

Reviews and Comments

Internal Medicine Doctors in Minneapolis, MN

Pascal Frino, M.D Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 612-467-3183
Dr. Ronald Alexander Reilkoff, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 909 Fulton St Se, Minneapolis, MN 55455 Phone: 612-672-7422
Dr. Traci Arnette Roberts, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 612-863-4000 Fax: 763-236-3026
Eugenia Shmidt, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 909 Fulton St Se, Minneapolis, MN 55455 Phone: 507-284-2511
Daniel Tesfaye Kebed, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-672-6000 Fax: 612-273-4098
Amr Idris, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 920 E 28th St Ste 300, Minneapolis, MN 55407 Phone: 612-863-1681
Tenzin Yangchen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 612-863-4000 Fax: 763-236-3026

Nicole Lea Wentworth Hartung, MD - Medicare Internal Medicine in Minneapolis, MN